Provider Demographics
NPI:1033414644
Name:ROBINSON, ABIGAIL LYNN (DC)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:LYNN
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:ABIGAIL
Other - Middle Name:LYNN
Other - Last Name:BOONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4824 QUAIL CREST PL STE A
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66049-3805
Mailing Address - Country:US
Mailing Address - Phone:785-856-0825
Mailing Address - Fax:785-842-7329
Practice Address - Street 1:4824 QUAIL CREST PL STE A
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66049-3805
Practice Address - Country:US
Practice Address - Phone:785-856-0825
Practice Address - Fax:785-856-0826
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-13
Last Update Date:2021-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0105374111N00000X
KS01-05374111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor